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New Hampshire rates for HCPCS 96573

Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.74 / $218.97 / $655.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.84 / $354.81 / $585.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.93 / $348.69 / $638.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.66 / $480.20 / $802.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.38 / $307.69 / $740.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.50 / $206.91 / $306.05